Organization
PROGRESSIVE REHABILITATION MEDICINE, PC
Active
Organization
PROGRESSIVE REHABILITATION MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNY R KIM (OWNER/ MD)
(319) 393-1320
Entity
Organization
Contact information
Practice address
6005 ROCKWELL DR NE STE B, CEDAR RAPIDS, IA 52402
(319) 393-1320
(319) 393-1350
Mailing address
6005 ROCKWELL DR NE STE B, CEDAR RAPIDS, IA 52402-7228
(319) 393-1320
(319) 393-1350
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE2425
RR MEDICARE
IA
Enumeration date
11/30/2007
Last updated
05/17/2018
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